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Journal of Chinese Integrative Medicine ›› 2012, Vol. 10 ›› Issue (3): 318-323.doi: 10.3736/jcim20120311

• Original Clinical Research • Previous Articles     Next Articles

Effects of the Chinese patent medicine, Honghua Injection, on platelet glycoprotein Ⅱb/Ⅲa receptors in patients with acute coronary syndrome: a randomized controlled trial

Zhu Yan-feng,Luo Hai-ming(),Deng Zhong-long,Fu De-yu,Yao Wang,Dai Jian   

  1. Department of Vasculocardiology, Yueyang Hospital of Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
  • Received:2011-07-24 Accepted:2011-12-10 Online:2012-03-20 Published:2018-10-10

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BACKGROUND: Glycoprotein (GP) Ⅱb/Ⅲa is an important index for assessing the function of platelets. To investigate the effects of Honghua Injection, a Chinese patent medicine made from extracts of Carthamus tinctorius L, on GP Ⅱb/Ⅲa is a key study in evaluating the inhibition properties of Honghua Injection on platelet aggregation.
OBJECTIVE: To observe the effects of Honghua Injection on platelet GPⅡb/Ⅲa receptors and explore the mechanisms of Honghua Injection in inhibiting platelet aggregation in patients with acute coronary syndrome.
DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: A total of 64 patients from Yueyang Hospital of Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine were randomly divided into Honghua Injection group (n=32, routine Western medicine plus Honghua Injection) and control group (n=32, routine Western medicine) according to the random number table. The patients were treated for 14 d.
MAIN OUTCOME MEASURES: The expressions of GPⅡb/Ⅲa (CD41), P-selection (CD62p), and lysosome-associated membrane GP (CD63) were measured by flow cytometry before and after treatment. Meanwhile the therapeutic effects of Huonghua Injection on angina and short-term prognosis were observed.
RESULTS: The observational period was 14 d and four patients in the control group were omitted due to early discharge. The expression of CD41 in both the Honghua Injection group and the control group was inhibited after treatment (P<0.05, P<0.01). The inhibition of the Honghua Injection group was stronger than that of the control group (P<0.05). There was no case of death, myocardial infarction and cerebral apoplexy during 14 d of treatment. The improvement of angina symptoms and electrocardiographic manifestation in the Honghua Injection group was greater than that of the control group (P<0.05).
CONCLUSION: Honghua Injection can inhibit the expression of GPⅡb/Ⅲa receptors by preventing aggregation of platelets and may be considered as an effective traditional Chinese medicine for acute coronary syndrome.

Key words: coronary disease, acute coronary syndrome, Chinese patent drugs, platelet membrane glycoprotein, platelet glycoprotein GPⅡb-Ⅲa complex;, P-selectin, randomized controlled trial

Table 1

General information of patients in two groups"

Item Control group (n=28) Treatment group (n=32)
Age (x±s, years) 72.07±10.27 69.56±11.46
Gender (male/female) 22/6 23/9
Acute myocardial infarction 14 13
Elective PCI 12 14
CABG 2 1

Figure 1

Flow diagram of this randomized trial"

Table 2

Changes of CD41, CD62p and CD63 expressions in two groups before and after treatment (x±s)"

Group n CD41 (%) Fluorescence value of CD41 CD62p (%) CD63 (%)
Control
Before treatment 28 96.12±4.10 12.01±2.69 11.16±4.27 10.82±3.74
After treatment 28 93.41±4.19* 10.36±2.63* 10.89±4.75 10.09±3.56
Treatment
Before treatment 32 96.03±3.17 12.54±3.12 10.59±4.96 11.00±4.45
After treatment 32 90.85±4.53**△ 8.85±2.91**△ 10.55±4.70 10.26±4.30

Table 3

Changes of clinical symptoms in two groups (n, %)"

Group n Obvious effective Improve Not effective Aggravated
Control 28 14 (50.0) 10 (35.7) 4 (14.3) 0 (0)
Treatment 32 23 (71.9) 7 (21.9) 2 (6.2) 0 (0)

Table 4

Changes of electrocardiogram results in two groups (n, %)"

Group n Obvious effective Improve Not effective Aggravated
Control 28 12 (42.9) 9 (32.1) 7 (25) 0 (0)
Treatment 32 21 (65.6) 8 (25.0) 3 (9.4) 0 (0)
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